Everything in one place: Covid-19 associated myocarditis in a patient with coronary artery disease and end stage renal failure

Myocarditis is associated with increased morbidity and mortaity in patients with Covid-19 infection. Little is known about the true nature and exact pathogenesis of myocardial involvement in these patients. 44 year old patient admitted with exertional dyspnea. He had previous coronary artery bypass surgey and received hemodialysis for lupus nephritis. He was diagnosed with Covid-19 infection 1 month ago. Echocardiography revealed decreased left ventricular ejection fraction and left ventricular global longitudinal strain (GLS). Coronary computerized tomographic angiography revealed patent bypass grafts. His medical treatment was adjusted. Follow up echocardiography after 3 months showed markedly improved LVEF and left ventricular GLS.